73 Results for

Claims Processor Jobs in Texas

Jobs

Medical Billing Coding Analyst Texas Oncology

Richardson, Texas

Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care.

30+ days ago

Credentialing Manager Tenet Healthcare Corp

Dallas, TX

The Credentialing Manger will work closely with the National Director of Credentialing to define departmental processes, execute strategic departmental initiatives, and have the ability to communicate high-level issues to Leadership when needed to ensure barriers do not hinder progress and implementation. The Credentialing Manager will act as a liaison between internal departments, (operations/onboarding/Conifer/RCM, managed care) and health plan partners to and diagnose/resolve claim issues, educate, and work to ensure credentialing activity across the department was successful through claims payment.

18 days ago

Commercial Lines Manager/Office Manager Ark Insurance Agency, LLC

Houston, TX

$75,000–$90,000 / year
Quick Apply

Demonstrate strong customer focus and an excellent phone manner; display strong written and verbal communication skills as well as excellent math and reading skills to perform calculations. Demonstrate strong knowledge of insurance products and usages, rating procedures, underwriting procedures, coverages, and industry operations to effectively manage, maintain, and write assigned clients and prospects.

2 days ago

Group Chief Financial Officer Decentralized Masters

Austin, TX

Catalyst Capital is a profitable, bootstrapped holding company building a diversified financial services group - education, publishing, software, wealth and tax planning tools, investment products and proprietary trading technology - funded entirely from its own operating cash. Identify and drive the highest-value levers to increase group enterprise value - margin, retention, revenue quality, recurring mix, entity structure, and the synergy story between units.

30+ days ago

Dental Claims Processor DY MANAGEMENT CONSULTANTS LLC

San Antonio, TX

Full time

As a Dental Claims Processor, you'll work alongside experienced professionals while learning every aspect of dental insurance billing, including: Process and follow up on dental insurance claims. We provide comprehensive, hands-on training that gives you the skills needed to become an expert in dental insurance claims and revenue cycle management.

13 days ago

Medical Claims Processor Datamark, Inc.

El Paso, TX

In this role, you will be responsible for verifying insurance coverage, conducting research, and resolving coverage-related issues to ensure timely and accurate prescription processing. As a Medical Claims Processor at DATAMARK, you'll play a vital role in the success of our operations by ensuring accurate and efficient back-office support.

30+ days ago

Coord. Payment Posting-UMCEPH Central Business Office University Medical Center of El Paso

El Paso, TX

Strong experience in financial reconciliation, ensuring payments align with back depositions and system records and proficient in interpreting Explanations of Benefits (EOB) and managing denials. One year of experience in a payment role within a healthcare environment with knowledge of insurance types, including commercial, Medicare, Medicaid, or similar plans.

17 days ago

Coord. PFS Contracts-Patient Accounting University Medical Center of El Paso

El Paso, TX

Reporting to the PFS Manager, and employing a contracts management system, the Managed Care Contracts Coordinator is directly responsible for developing and implementing contract reimbursement models according to executed managed care contract terms, identifying and analyzing discrepancies in system and managed care reimbursement term calculations and reconciliation of payment variances. Acts as intermediary with Managed Care, Revenue Cycle and PFS management to accurately administer contract terms, identify, recommend and implement issue/problem resolution necessary to affect timely and accurate reimbursement.

30+ days ago

Service Administrator Cummins Inc

Houston, TX

Warranty Process - Analyzes customer issues to verify root cause of failure and associated progressive damage using Cummins published service information; interprets the warranty administration manual to determine eligibility for coverage and claim requirements; identifies items associated with repair that can be covered and communicates to stakeholders; files a claim in the appropriate system using proper documentation and requirements to receive accurate settlement. Diagnostics Application - Translates customer complaints to develop troubleshooting plan; troubleshoots issue following guided work flows, procedures, specialized equipment such as mechanical and electronic service tools, and diagnoses computer software to isolate failed components to enable a successful repair; validates repair by duplicating complaint to ensure it has been resolved; documents results of troubleshooting in business systems to communicate what has been done for payment and historical tracking.

30+ days ago

Coding Analyst Texas Oncology

Richardson, Texas

Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Responsibilities: The essential duties and responsibilities (including but not limited to): Review requests for coding changes (including but not limited to CPT/HCPCS, diagnosis, modifiers, place of service, authorizations, UOM, MUE, NDC) based on payer denials to ensure accurate coding and billing.

30+ days ago

Case Processor (Austin) State of Texas

Austin, TX

Also, you can compare this position to military occupations (MOS) at the Texas State Auditor''s Office by pasting this link into your browser: https://hr.sao.texas.gov/Compensation/MilitaryCrosswalk/MOSC_AdministrativeSupport.pdf . You possess the ability to perform duties involving close attention to detail with accuracy, keep up with a fast-paced work environment, and have good interpersonal skills to communicate with coworkers.

7 days ago

Claims Training Mentor Guide Well

San Antonio, TX

Based on working knowledge of performance objectives associated with multiple job roles, provide coaching and feedback to management on progress of an individual learner and a group on their ability to best apply knowledge, skills, tools and job processes. What Will You Be Doing: Training of New Hires: Deliver and facilitate in person and virtual training spanning Customer Service and Claims Processing for multiple job roles for various client groups and blocks of business.

30+ days ago

Data Entry Processor (Part Time) Guide Well

Irving, TX

WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building unique benefit solutions and managing customized health plans. The Data Entry Processor operates in a fast-paced environment and is responsible for data entry of claims data.

9 days ago

Workers Compensation Claims Examiner TEEMA Group

Dallas, TX

$36–$38
Quick Apply

If you are a talented, experienced Claims Adjuster/Examiner with an active Texas Workers Compensation license looking for a door into a large organization submit your resume now! This position requires consistent in-office collaboration with internal staff, claimants, employers, and leadership to ensure timely and compliant claims administration.

6 days ago

Claims Examiner I Guide Well

San Antonio, TX

Investigation and overpayment administration: Facilitate claims investigation, negotiate settlements, interpret medical records, respond to Department of Insurance complaints, and authorize payment to claimants and providers. Overpayment reviews and recovery of claims overpayment; corrected financial histories of patients and service providers to ensure accurate records.

21 days ago

Claims Coordinator Corpus Christi

Corpus Christi, Texas

$15–$16 / hour

Responsive recruiter Replies within 24 hours Position Overview As the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. Ensure that uploading photos, and other documents are appropriately described, titled and uploaded in real time, as well as follows up to get missing required data from homeowner and insurance/mortgage information not obtained on initial call.

3 days ago

Senior Claims Auto Adjuster - Non-Injury USAA

Castroville, TX

$54,550–$97,750 / year

Dispute resolution experience: Liability Investigation/Comparative Negligence, Unrelated Prior Vehicle Damages, Total Loss Valuation/Negotiation, Non-Owned Vehicles/Rideshare/Permissive Driver, Exceeding Coverage Limits. Supports members, business partners, and claimants, through use of varying communication channels to include utilization of digital tools to drive timely and effective resolutions through exceptional service.

26 days ago

Commercial Auto & General Liability Claims Examiner II TEEMA Group

"-", TX

Remote

$85,000–$95,000
Quick Apply

Comprehensive Claims Management: Independently investigate and evaluate Commercial Auto, PIP, and General Liability claims to ensure high-quality outcomes. This position is perfect for a strategic thinker who excels at evaluating exposure, guiding investigative strategy, and collaborating with legal counsel to achieve fair and efficient resolutions.

6 days ago

Claims Examiner Senior \ Direct Placement60 - Contract TalentBurst, Inc.

Irving, TX

$23–$24 / hour
Quick Apply

This role works in conjunction with Business Configuration, Network Management, Provider Data, Complaints, Appeals and Grievances as well as other operational departments to ensure validation and quality assurance of claims processing. Work claim projects resulting from overpayments or underpayments related to manual processing errors, benefit updates, and/or contract, fee schedule changes.

11 days ago

Senior Medical Claims Examiner Macpower Digital Assets Edge Private Limited

Irving, TX

$22.25 / hour
Quick Apply

This role works in conjunction with Business Configuration, Network Management, Provider Data, Complaints, Appeals and Grievances as well as other operational departments to ensure validation and quality assurance of claims processing. Job Summary: The Senior Claims Examiner is responsible for reviewing, analyzing, researching, and resolving complex medical claims in accordance with claims processing guidelines and desktops, as well as, ensuring compliance with federal regulations.

12 days ago

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Claims Processor Jobs in Texas

Medical Billing Coding Analyst Texas Oncology

Credentialing Manager Tenet Healthcare Corp

Commercial Lines Manager/Office Manager Ark Insurance Agency, LLC

Group Chief Financial Officer Decentralized Masters

Dental Claims Processor DY MANAGEMENT CONSULTANTS LLC

Medical Claims Processor Datamark, Inc.

Coord. Payment Posting-UMCEPH Central Business Office University Medical Center of El Paso

Coord. PFS Contracts-Patient Accounting University Medical Center of El Paso

Service Administrator Cummins Inc

Coding Analyst Texas Oncology

Case Processor (Austin) State of Texas

Claims Training Mentor Guide Well

Data Entry Processor (Part Time) Guide Well

Workers Compensation Claims Examiner TEEMA Group

Claims Examiner I Guide Well

Claims Coordinator Corpus Christi

Senior Claims Auto Adjuster - Non-Injury USAA

Commercial Auto & General Liability Claims Examiner II TEEMA Group

Claims Examiner Senior \ Direct Placement60 - Contract TalentBurst, Inc.

Senior Medical Claims Examiner Macpower Digital Assets Edge Private Limited

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